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新冠疫情封锁期间青少年出现的类精神病体验:流行率、风险和保护因素。

Psychotic-like experiences during COVID-19 lockdown among adolescents: Prevalence, risk and protective factors.

机构信息

Department of Social Psychiatry, the Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou, China; School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, South China Normal University, Guangzhou, China.

Department of Social Psychiatry, the Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou, China.

出版信息

Schizophr Res. 2023 Feb;252:309-316. doi: 10.1016/j.schres.2023.01.027. Epub 2023 Jan 23.


DOI:10.1016/j.schres.2023.01.027
PMID:36706476
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9868397/
Abstract

OBJECTIVE: Although plenty of evidence has shown the huge negative impact of COVID-19 on individuals' mental health conditions, little is known about its impact on the psychotic-like experiences (PLEs) in the general population. We aim to explore the prevalence of PLEs and relevant influential factors among adolescents during COVID-19 lockdown. METHODS: A total of 3234 students completed one online survey between April to May 2020. PLEs were assessed using the 15-item Positive Subscale of the Community Assessment of Psychic Experiences (CAPE-P15). Resilience, social support, childhood trauma, and a series of socio-demographic factors were also evaluated. RESULTS: In this sample, 51.4 % adolescents reported having at least one PLE, while 11.6 % experienced PLEs frequently during COVID-19 lockdown. Senior high school students showed more frequent PLEs than college students (p < 0.001). Female gender (OR = 1.77), history of mental disorders (OR = 3.07) or chronic physical illness (OR = 2.04), having relatives or friends being infected with COVID-19 (OR = 3.12), longer daily exposure to media coverage of the COVID-19 (OR = 1.60), and more childhood trauma (OR = 1.54-3.49) were correlated with more frequent PLEs, while higher resilience (OR = 0.35-0.54) and more perceived social support (OR = 0.63-0.72) were associated with decreased odds for frequent PLEs. Additionally, there were several differences among the influential factors between senior high school and college students. CONCLUSIONS: PLEs were relatively common among Chinese adolescents, with higher prevalence among senior high school students during COVID-19 lockdown. Adolescents with specific characteristics should receive more attention in the development of intervention measures in mental health during pandemic lockdown.

摘要

目的:尽管大量证据表明 COVID-19 对个体心理健康状况有巨大的负面影响,但对其在普通人群中产生的类精神病体验(PLE)知之甚少。我们旨在探讨 COVID-19 封锁期间青少年 PLE 的流行情况及其相关影响因素。

方法:共有 3234 名学生于 2020 年 4 月至 5 月期间完成了一项在线调查。使用社区心理体验评估的 15 项阳性量表(CAPE-P15)评估 PLE。还评估了韧性、社会支持、童年创伤和一系列社会人口因素。

结果:在该样本中,51.4%的青少年报告至少有一种 PLE,而 11.6%的青少年在 COVID-19 封锁期间经常出现 PLE。高中生比大学生更频繁地出现 PLE(p<0.001)。女性(OR=1.77)、精神障碍史(OR=3.07)或慢性躯体疾病史(OR=2.04)、有亲属或朋友感染 COVID-19(OR=3.12)、每天接触媒体对 COVID-19 的报道时间较长(OR=1.60)、童年创伤较多(OR=1.54-3.49)与 PLE 更频繁相关,而韧性较高(OR=0.35-0.54)和社会支持感知度较高(OR=0.63-0.72)与 PLE 更频繁的几率降低相关。此外,高中生和大学生之间的影响因素存在一些差异。

结论:在 COVID-19 封锁期间,PLE 在中国青少年中较为常见,高中生的患病率较高。在大流行封锁期间,具有特定特征的青少年应在心理健康干预措施的制定中得到更多关注。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a082/9868397/5bbae21a42ad/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a082/9868397/5bbae21a42ad/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a082/9868397/5bbae21a42ad/gr1_lrg.jpg

相似文献

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Psychotic-like experiences during COVID-19 lockdown among adolescents: Prevalence, risk and protective factors.

Schizophr Res. 2023-2

[2]
Current psychotic-like experiences among adolescents in China: Identifying risk and protective factors.

Schizophr Res. 2022-6

[3]
Changes in psychotic-like experiences and related influential factors in technical secondary school and college students during COVID-19.

Schizophr Res. 2021-5

[4]
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BMC Psychiatry. 2023-7-19

[5]
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Compr Psychiatry. 2021-11

[6]
Psychotic-like experiences and associated socio-demographic factors among adolescents in China.

Schizophr Res. 2015-8

[7]
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BMJ Open. 2024-10-1

[8]
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Psychiatry Res. 2019-3-20

[9]
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[10]
Psychotic-like experiences and correlation with childhood trauma and other socio-demographic factors: A cross-sectional survey in adolescence and early adulthood in China.

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引用本文的文献

[1]
The effect of sleep disturbance trajectories on psychotic-like experiences among adolescents: the mediating role of depressive symptoms.

Eur Child Adolesc Psychiatry. 2025-5-27

[2]
Mental Health Care Utilization and Prescription Rates Among Children, Adolescents, and Young Adults in France.

JAMA Netw Open. 2025-1-2

[3]
The daily association between positive affect and psychotic experiences in individuals along the early stages of the psychosis continuum.

Front Psychiatry. 2024-8-29

[4]
Perceived school bullying and psychotic-like experiences in sexual minority adolescents: the mediating and moderating roles of resilience.

Child Adolesc Psychiatry Ment Health. 2024-5-16

[5]
Moderating and mediating effects of resilience between childhood trauma and psychotic-like experiences among college students.

BMC Psychiatry. 2024-4-12

[6]
Current Psychotic-Like Experiences Among Chinese College Students: Prevalence, Correlates, and Its Relationship with Suicidal Ideation.

Psychol Res Behav Manag. 2024-2-27

[7]
Psychotic-Like Experiences and Suicidal Ideation Among Adolescents: The Chain Mediating Role of Insomnia Symptoms and Resilience.

Psychol Res Behav Manag. 2023-9-1

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